NPI | 1285227025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A202367) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 287974) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2025-07-07 |