NPI | 1053548917 |
---|---|
Former Name | JENNIFER ANN BAGDADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101252410) |
Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: VA 0101252410) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2020-04-20 |