NPI | 1700317534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CO DR.0073462) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.072100) |
207W00000X Ophthalmology (Licence: MI 4301506157) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-08-16 |