NPI | 1003171570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A128499) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A128499) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2020-01-22 |