| NPI | 1386027142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61041517) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301116861) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2020-07-07 |