| NPI | 1104110592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 20A20538) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OS50789) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2024-06-17 |