NPI | 1801212014 |
---|---|
Former Name | KATERINA MARGARITA ZISSIOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004487) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA PA6995) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2024-01-17 |