| NPI | 1386036804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 18850) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18850) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2022-10-13 |