NPI | 1124384268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101272336) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 282796) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2021-09-16 |