NPI | 1649438763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A113118) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 245279) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2010-08-09 |