NPI | 1265667364 |
---|---|
Former Name | MICHELLE L. MIHALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME118175) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL TRN13682) |
Enumeration Date | 2009-05-19 |
Last Update Date | 2017-01-10 |