| NPI | 1326716200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA SPI679) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA F679) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-21 |