NPI | 1790103067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: OK 34768) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301114270) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2020-07-15 |