NPI | 1619264645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CA A136366) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A136366) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2018-08-28 |