NPI | 1033007570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: KY FL084) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY FL084) |
Enumeration Date | 2025-06-24 |
Last Update Date | 2025-08-25 |