| NPI | 1962630202 |
|---|---|
| Former Name | MELISSA DEMETRA MIHELIDAKIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15562) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT 1913) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-06-02 |