NPI | 1811996523 |
---|---|
Former Name | ROSE MARIA CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 20A8199) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101015522) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2010-03-22 |