NPI | 1033365663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2014039705) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-130196) |
207W00000X Ophthalmology (Licence: MO 2014039705) | |
207R00000X Internal Medicine (Licence: PA MT192042) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036-130196) | |
Enumeration Date | 2008-08-14 |
Last Update Date | 2017-12-11 |