NPI | 1306475686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 69677) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30809) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 69677) | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2025-06-20 |