| NPI | 1457362972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 53727) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 199940R) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: AZ 53727) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-11-29 |