NPI | 1851342786 |
---|---|
Former Name | MACRENE RENEE ALEXIADES-ARMENAKAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 212414) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CT 42885) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2023-12-21 |