NPI | 1588337653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX V9927) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD472980) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2025-10-01 |