NPI | 1700345733 |
---|---|
Former Name | MIHAELA SOULIOPOULOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344348) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00884300) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-10-05 |