| NPI | 1205178688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2018-01784) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301106083) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2019-07-02 |