NPI | 1770676355 |
---|---|
Former Name | DIANA HABRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD15309) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00034600) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-13 |