| NPI | 1205010006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 22492) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 35214) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2021-09-09 |