| NPI | 1164440640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 66456) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 115486) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-11-21 |