| NPI | 1316926892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 39928) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 55317) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MN 39928) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-08-12 |