| NPI | 1104852466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX M6905) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 48534) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-06-02 |