| NPI | 1376733402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A120259) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 64751) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2021-09-10 |