NPI | 1073890257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101284227) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT198652) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2025-08-07 |