| NPI | 1326362294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60539268) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2014008611) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: AL AL35979) | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WA MD60539268) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2020-12-14 |