NPI | 1023082880 |
---|---|
Former Name | MELISSA LYNN JABLONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MI 4301077478) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301077478) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2017-11-01 |