| NPI | 1104801976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME165007) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01060074A) |
| 207W00000X Ophthalmology (Licence: OH 88852) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-12-14 |