NPI | 1780684902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 151) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: VT 042.0014908) |
207W00000X Ophthalmology (Licence: NY 213367) | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2020-11-11 |