NPI | 1114008091 |
---|---|
Former Name | ANDREA ERIN KNELLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OH 35094478) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35094478) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2021-01-20 |