NPI | 1770930935 |
---|---|
Former Name | SHELLY HWANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101272942) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0089279) |
207W00000X Ophthalmology (Licence: MD P32567) | |
Enumeration Date | 2016-05-18 |
Last Update Date | 2025-07-25 |