NPI | 1700881372 |
---|---|
Former Name | ESSENE C LESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 89460) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX 4708) |
207W00000X Ophthalmology (Licence: GA 065936) | |
Enumeration Date | 2005-06-20 |
Last Update Date | 2023-05-04 |