NPI | 1962836098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: FL OS15534) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OS15534) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2021-04-30 |