NPI | 1063423705 |
---|---|
Former Name | VIVIAN FARELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OR MD157237) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101242649) |
207W00000X Ophthalmology (Licence: OR MD157237) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2022-07-21 |