NPI | 1881073013 |
---|---|
Former Name | KYLA MIYUKI TERAMOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: HI MD-20523) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207W00000X Ophthalmology (Licence: IL 036.148329) | |
207WX0009X Ophthalmology, Glaucoma Specialist (Licence: HI MDR6885) | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2023-09-06 |