| NPI | 1043254683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2004025533) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-30975) |
| 207W00000X Ophthalmology (Licence: CA C54153) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-10-18 |