| NPI | 1336276427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2007-00374) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57.009179) |
| 207W00000X Ophthalmology (Licence: VA 0101245928) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-06-15 |