NPI | 1831644020 |
---|---|
Former Name | ELENI KREIZIDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53310) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 53310) |
363AS0400X Physician Assistant, Surgical (Licence: CA 53310) | |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-29 |