| NPI | 1457401259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0057104) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A90446) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-04-21 |