| NPI | 1154312635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A89517) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD60440043) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-09-29 |