| NPI | 1174816433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q9333) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP 10039562) |
| 207W00000X Ophthalmology (Licence: FL ME123539) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2020-08-14 |