NPI | 1871027128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX U1093) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 62969) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2023-08-11 |