| NPI | 1356751572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 70781) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A156353) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-04-08 |