| NPI | 1174680409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC LL26929) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.091736) |
| 207W00000X Ophthalmology (Licence: KY 41996) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-05-03 |