NPI | 1780942722 |
---|---|
Former Name | ANNA WALKER BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: HI 19579) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: HI 19579) |
207WX0107X Ophthalmology, Retina Specialist (Licence: LA 302038) | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2019-04-21 |