| NPI | 1124318167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A156155) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 73533) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2022-01-26 |