NPI | 1669869707 |
---|---|
Former Name | MONICA LYNN KENNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CO 61982) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 61982) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2024-04-23 |