NPI | 1871851923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A124192) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A124192) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2020-08-07 |