NPI | 1043653439 |
---|---|
Former Name | EMILY ANN MCINTOSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 312260) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 56436) |
Enumeration Date | 2013-04-16 |
Last Update Date | 2019-12-02 |