| NPI | 1447091723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 80289) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 34281) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-07-15 |