NPI | 1104104959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036144972) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125059144) |
207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036144972) | |
Enumeration Date | 2011-07-28 |
Last Update Date | 2022-12-28 |