NPI | 1235385766 |
---|---|
Former Name | KELLI LYNN HERLIHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 5477) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101017831) |
Enumeration Date | 2008-08-15 |
Last Update Date | 2022-05-10 |