| NPI | 1073975322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 68313-21) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 6102851) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-08-09 |