NPI | 1619185592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60087986) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 231512) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2015-04-13 |