NPI | 1841558822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2018008444) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2018008444) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2020-02-05 |