| NPI | 1356994867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.145397) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL 28012) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-08-06 |