| NPI | 1033314703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME101560) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A100058) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2025-10-08 |