NPI | 1508894643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301081731) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301081731) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2022-01-26 |