NPI | 1215198510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 290130-1) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10032336) |
207W00000X Ophthalmology (Licence: GA 73567) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2018-02-20 |