| NPI | 1235177114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 200600411) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A87493) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-07-21 |