NPI | 1790453983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 58097) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 31433) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2023-08-02 |