NPI | 1295092971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301101391) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A143150) |
207WX0107X Ophthalmology, Retina Specialist (Licence: CA 143150) | |
Enumeration Date | 2012-04-18 |
Last Update Date | 2022-01-26 |