| NPI | 1407010101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35092138) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-35739) |
| 207W00000X Ophthalmology (Licence: MO 2012018683) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2023-11-03 |