| 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 |