NPI | 1235333634 |
---|---|
Former Name | KAREN LEANNE WICKLIFFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC MD29782) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL29782) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2019-07-09 |