NPI | 1033242581 |
---|---|
Former Name | TARRA MARIE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2007-00722) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 116947) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2021-01-22 |