NPI | 1578926572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 180788) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301501921) |
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA 180788) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2023-01-12 |