NPI | 1396373536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 69564) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30719) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2021-07-14 |