NPI | 1932102365 |
---|---|
Former Name | LINDA S UNRUH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60897254) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD191198) |
207W00000X Ophthalmology (Licence: NE 19433) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2023-11-15 |