NPI | 1487098927 |
---|---|
Former Name | CHRISTINE ANN MOLLINEAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 59875) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 56230) |
Enumeration Date | 2013-04-27 |
Last Update Date | 2025-01-13 |