| NPI | 1043694664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD197788) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA ML 60642473) |
| 207W00000X Ophthalmology (Licence: MI 4301117135) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2021-02-20 |