| NPI | 1134370968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 257859) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL TRN10954) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2021-01-06 |