NPI | 1619537263 |
---|---|
Former Name | CAROLINE LEANN LIEUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 342375) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME162356) |
Enumeration Date | 2019-06-17 |
Last Update Date | 2024-10-07 |