NPI | 1073908976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A144991) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A144991) |
207W00000X Ophthalmology (Licence: AZ R75586) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301117014) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-03-27 |