NPI | 1598145450 |
---|---|
Former Name | AMY SUSAN GEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 74083) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX S1059) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2025-08-19 |