| NPI | 1184006298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0091282) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD60939622) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-04-28 |