NPI | 1649550872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 20A14980) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA OT014234) |
207W00000X Ophthalmology (Licence: PA OS017656) | |
Enumeration Date | 2011-08-19 |
Last Update Date | 2016-11-06 |