NPI | 1528288669 |
---|---|
Former Name | AMANDA B RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA c154815) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101254763) |
207W00000X Ophthalmology (Licence: MD D79626) | |
Enumeration Date | 2007-04-30 |
Last Update Date | 2024-08-15 |