| NPI | 1073933545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A161002) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 63578) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-10-04 |