| NPI | 1093078461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 283530) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM RS2015-0580) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-10-26 |