| NPI | 1164686812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: MI 4301092933) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2012011148) |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: IL 036134962) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: MO 2012011148) | |
| 207W00000X Ophthalmology (Licence: MI 4301092933) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2022-09-06 |