| NPI | 1164090569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301513430) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-12225) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-07-08 |