| NPI | 1346445632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 74381) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME MD19627) |
| 207W00000X Ophthalmology (Licence: NE 23871) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-04-06 |