| NPI | 1306061320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 72874-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 48206) |
| 207W00000X Ophthalmology (Licence: UT 7650538-1205) | |
| 207W00000X Ophthalmology (Licence: MI 4301098000) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-11-09 |