NPI | 1801387063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD482567) |
Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: MN 71042) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2024-06-25 |