NPI | 1063411858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA G71893) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX L5874) |
207W00000X Ophthalmology (Licence: CA G71893) | |
208200000X Plastic Surgery (Licence: TX L5874) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2023-05-22 |