| NPI | 1366618548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 054662) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 54346) |
| 207W00000X Ophthalmology (Licence: IL 036131009) | |
| 207W00000X Ophthalmology (Licence: MN 105521) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2021-05-21 |