NPI | 1457648412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2016-00680) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199597) |
207W00000X Ophthalmology (Licence: IA MD-42630) | |
Enumeration Date | 2011-06-28 |
Last Update Date | 2023-04-24 |