NPI | 1912324708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0102206347) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 34013417) |
Enumeration Date | 2014-03-18 |
Last Update Date | 2021-06-07 |