NPI | 1194345421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: TX V8236) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX V8236) |
Enumeration Date | 2020-04-16 |
Last Update Date | 2025-10-01 |