NPI | 1861494114 |
---|---|
Former Name | PRISCILLA ETHEL PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036124585) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 38713) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2012-06-28 |