| NPI | 1043520109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 123061) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 258798) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2022-11-13 |