| NPI | 1396809885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 240054) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 50514-020) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-02-19 |