| NPI | 1841511516 |
|---|---|
| Former Name | EMILY CLAIRE WAISBREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 17791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245123) |
| 207W00000X Ophthalmology (Licence: NY 273861) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2024-01-03 |