| NPI | 1043659949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 101256883) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101256883) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2023-06-26 |