| NPI | 1629613021 |
|---|---|
| Former Name | ELINA EKSARKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 26NJ00924500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00924500) |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2021-09-22 |