| NPI | 1003077033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 075050) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35124552) |
| 207W00000X Ophthalmology (Licence: MD D0075247) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-01-10 |