| NPI | 1104144609 |
|---|---|
| Former Name | JULIE LAUREN KIESSLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: AL 34000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2023-10-02 |