| NPI | 1215387816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 76508) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301505041) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-02-14 |