NPI | 1710050141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35036423) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301034155) |
207W00000X Ophthalmology (Licence: CA G29024) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-09 |