NPI | 1871688200 |
---|---|
Former Name | TAMELA ANN MONTELEONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL MD42672) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G77469) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2024-05-01 |