| NPI | 1790947448 |
|---|---|
| Former Name | ANDREA LAUREN HALTINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: GA 067963) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 067963) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2018-05-21 |