NPI | 1033791710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61656789) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61656789) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2025-08-11 |