| NPI | 1255743696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2020-02248) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 34393) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2021-04-29 |