NPI | 1407385636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME155829) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301112050) |
207W00000X Ophthalmology (Licence: MI 4351031718) | |
207W00000X Ophthalmology (Licence: PA MD473679) | |
Enumeration Date | 2017-06-10 |
Last Update Date | 2022-11-04 |