NPI | 1538121504 |
---|---|
Former Name | LEEMOR BASSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301078090) |
Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: MI 4301078090) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2020-10-23 |