| NPI | 1215314794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2019017051) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 35540) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2024-11-20 |