| NPI | 1396180170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0058265) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT203472) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-07-21 |