NPI | 1972037521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD220526) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD61560800) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2024-09-30 |