| NPI | 1346581634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS13933) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL UO3322) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2021-05-25 |