NPI | 1245735414 |
---|---|
Former Name | LEANNE LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: KY 59265) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57.247045) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2024-06-21 |