NPI | 1902239528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A169548) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A169548) |
207W00000X Ophthalmology (Licence: FL ME131086) | |
207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL ME131086) | |
Enumeration Date | 2013-08-19 |
Last Update Date | 2024-08-17 |