| NPI | 1003106378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 66019) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD171856) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2021-01-15 |