NPI | 1043659949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 202020) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 101256883) |
208D00000X General Practice (Licence: VA 0101256883) | |
Enumeration Date | 2013-06-24 |
Last Update Date | 2025-04-03 |