| NPI | 1114987658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A48069) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A48069) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-11-18 |