NPI | 1407832884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301093666) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301093666) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2022-01-26 |