NPI | 1134122633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 64149) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A66761) |
207W00000X Ophthalmology (Licence: AZ 64149) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: CA A66761) | |
Enumeration Date | 2005-05-27 |
Last Update Date | 2021-08-03 |