NPI | 1245270313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA C143489) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C143489) |
207W00000X Ophthalmology (Licence: MD D59856) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2024-03-21 |