| NPI | 1457746612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2019043157) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 278403) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-11-08 |