| NPI | 1043706070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301506649) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 317770) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2025-10-02 |