NPI | 1700311248 |
---|---|
Former Name | MEREDITH PASMANTIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 73884) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 308719) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2025-04-15 |