NPI | 1609213719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MA 275339) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 275339) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2019-10-02 |