| NPI | 1376953323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 68105) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 274618) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2022-08-03 |