NPI | 1922460195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: OR MD203339) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD203339) |
207W00000X Ophthalmology (Licence: MI 4301502157) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2022-08-05 |