NPI | 1124398102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME138784) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D84848) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2022-04-19 |