NPI | 1164625133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: MA 294837) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 263216) |
207W00000X Ophthalmology (Licence: PA MD439246) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2023-12-03 |