NPI | 1750375572 |
---|---|
Former Name | CARRIE E GOLDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.069488) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 36-69488) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2012-08-30 |