NPI | 1598761330 |
---|---|
Former Name | MARIANNE D CONWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 31569) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 31569) |
207W00000X Ophthalmology (Licence: LA 06499) | |
Enumeration Date | 2005-06-27 |
Last Update Date | 2023-07-07 |