NPI | 1225398241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MD D0083124) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD457183) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2018-03-17 |