NPI | 1184062036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: KY 51525) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL35721) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2018-10-23 |