NPI | 1639300221 |
---|---|
Former Name | NAOMI V. ODELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 59955) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207W00000X Ophthalmology (Licence: WA MD.60486570) | |
Enumeration Date | 2009-07-31 |
Last Update Date | 2017-02-22 |