NPI | 1992061303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101264198) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 266401) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2023-01-24 |