NPI | 1376341552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95034136) |
Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA 95034136) |
Enumeration Date | 2025-03-04 |
Last Update Date | 2025-03-04 |