NPI | 1215202551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 305870) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 128006) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2018-03-17 |