NPI | 1639597347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0089496) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 57331) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2020-09-21 |