| NPI | 1346869815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301511487) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 12439694-1205) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-07-22 |