NPI | 1801094313 |
---|---|
Former Name | SABA JUNE ELDERKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 68428) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036125602) |
207W00000X Ophthalmology (Licence: MI 4301106903) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2021-12-02 |