| NPI | 1497017867 |
|---|---|
| Former Name | JANELLE MARIE FASSBENDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 49029) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01080878A) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 49029) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IN 01080878A) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2020-08-20 |