NPI | 1184722936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME130571) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 58213) |
207W00000X Ophthalmology (Licence: GA 58213) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-07-21 |