| NPI | 1093791352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 98 01213) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 20157) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-10-05 |