NPI | 1285830919 |
---|---|
Former Name | LYNNELLE KIMBERLY SMITH NEWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60377683) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A107655) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2016-12-13 |