NPI | 1760800254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME141418) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 274189) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2020-06-01 |