NPI | 1336194828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA 024983) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 024983) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2020-01-15 |