NPI | 1740418763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301102842) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195462) |
207W00000X Ophthalmology (Licence: PA MT195462) | |
207W00000X Ophthalmology (Licence: NM RS2013-0036) | |
Enumeration Date | 2009-06-29 |
Last Update Date | 2015-08-26 |