NPI | 1689038531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: TX T7514) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME146228) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2023-03-07 |