| NPI | 1366948598 |
|---|---|
| Former Name | LOUANNE T VOLLSTEDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A185086) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 291537) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-06-07 |