NPI | 1871015602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0073031) |
Additional Taxonomies | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
Enumeration Date | 2017-07-13 |
Last Update Date | 2024-05-28 |