| NPI | 1235589466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD210280) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2019018210) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2022-07-18 |