| NPI | 1104323021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A165193) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A165193) |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2024-07-12 |