NPI | 1093824450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301115780) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00034777) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-08-20 |