NPI | 1437655404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-53655) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 65263) |
207WX0107X Ophthalmology, Retina Specialist (Licence: IA MD-53655) | |
Enumeration Date | 2018-03-30 |
Last Update Date | 2024-12-03 |