NPI | 1417020629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101044132) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD16505) |
207W00000X Ophthalmology (Licence: MD D38787) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2011-11-01 |