| NPI | 1487774949 |
|---|---|
| Former Name | ANYA ANN JOHANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2023-01008) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 5198) |
| 207W00000X Ophthalmology (Licence: PA MD441152) | |
| 207W00000X Ophthalmology (Licence: MD D0071823) | |
| 207W00000X Ophthalmology (Licence: CA A108479) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: CA CA108479) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-09-14 |