NPI | 1063850808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A155828) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102993) |
207W00000X Ophthalmology (Licence: FL ME131493) | |
Enumeration Date | 2013-06-13 |
Last Update Date | 2020-08-26 |