| NPI | 1205873791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 53804) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301078093) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-09-08 |