| NPI | 1326263963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 55168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011763) |
| 207W00000X Ophthalmology (Licence: OH 57.011763) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-20 |