NPI | 1144481060 |
---|---|
Former Name | ELIZABETH BLIDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD451087) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA09094200) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2017-11-29 |