NPI | 1225535669 |
---|---|
Former Name | ERICA MICHELLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: TX T7742) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.073590) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2022-08-15 |