| NPI | 1225004278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00020750) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD12382) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-03-07 |