| NPI | 1609253145 |
|---|---|
| Former Name | MARY KATHLEEN HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036148568) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.067022) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-07-01 |