| NPI | 1780003459 |
|---|---|
| Former Name | JADE ASHLEY GIESEKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME136354) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-04-14 |