| NPI | 1053370734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 7765) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 12038606-1205) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-01-03 |