NPI | 1316388655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.134601) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 38738983787) |
207W00000X Ophthalmology (Licence: MI 4301111666) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2019-11-29 |