NPI | 1588296859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 33819) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 1021895) |
208D00000X General Practice (Licence: NE 33819) | |
Enumeration Date | 2020-02-05 |
Last Update Date | 2025-03-11 |