| NPI | 1366638165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: PR 17364) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PR 17364) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2020-04-21 |