NPI | 1417395880 |
---|---|
Former Name | SOPHIA ESTELLA PHILIPPOPOULOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD458526) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD458526) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2017-11-17 |