| NPI | 1457512451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P6397) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA L-235246) |
| 208600000X Surgery (Licence: MA L-235246) | |
| 207W00000X Ophthalmology (Licence: MA 249043) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-08-12 |