| NPI | 1275504854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 40869) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 38798) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2022-03-22 |