NPI | 1174771232 |
---|---|
Former Name | JANET LEATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0073764) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD040378) |
207W00000X Ophthalmology (Licence: VA 0101251820) | |
208600000X Surgery (Licence: IL NA) | |
Enumeration Date | 2008-09-03 |
Last Update Date | 2014-10-20 |