NPI | 1881709855 |
---|---|
Former Name | KAY ELLEN BURDETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: WV 9281) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35-032436) |
207W00000X Ophthalmology (Licence: WV 9281) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35032436) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2017-07-25 |