| NPI | 1083972038 |
|---|---|
| Former Name | ANNA COLE GRUNDSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 82486) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: HI MD-18752) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2023-10-03 |