| NPI | 1215521794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A202214) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 287877) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2025-07-07 |