NPI | 1609295583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OR MD219173) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD219173) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2024-11-05 |