| NPI | 1154842979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A165381) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017015913) |
| 207W00000X Ophthalmology (Licence: MO 2017015913) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-09 |