| NPI | 1306089750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ND 10073) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 239091) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2021-03-08 |