NPI | 1487654216 |
---|---|
Former Name | DIANNA LYNN MIELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2009-00087) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 00026710) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2013-04-12 |