| NPI | 1386822112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A89123) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301092053) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2020-05-29 |