NPI | 1104110592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 20A20538) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OS50789) |
Enumeration Date | 2011-06-03 |
Last Update Date | 2024-06-17 |