NPI | 1003875980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD042419E) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD042419E) |
207W00000X Ophthalmology (Licence: PA MD042419E) | |
Enumeration Date | 2006-03-21 |
Last Update Date | 2017-06-30 |