NPI | 1194987016 |
---|---|
Former Name | BETH R KUTZBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 39738) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 50530) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2015-12-22 |