NPI | 1235192428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME90178) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME90178) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2021-07-27 |