| NPI | 1619354743 |
|---|---|
| Former Name | LISA W. WASIELEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 70489) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2016014173) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2023-10-10 |