NPI | 1407113566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D83693) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207W00000X Ophthalmology (Licence: PA MD456923) | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2022-07-21 |