NPI | 1598389926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301510919) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11895) |
207W00000X Ophthalmology (Licence: IA R-11895) | |
Enumeration Date | 2020-06-01 |
Last Update Date | 2024-07-08 |