NPI | 1023174182 |
---|---|
Former Name | LISA A WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2020-00758) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A103023) |
Enumeration Date | 2006-12-30 |
Last Update Date | 2021-04-29 |