| NPI | 1194980557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX N9774) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301092093) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2019-11-04 |