| NPI | 1245792662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 73949) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-11700) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-10-26 |