| NPI | 1639356843 |
|---|---|
| Former Name | ANDREA LEE MEINERZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 054488) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301097496) |
| 207W00000X Ophthalmology (Licence: MI 4301097496) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2014-12-24 |