| NPI | 1467423517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 28135) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SD 3577) |
| 207W00000X Ophthalmology (Licence: NE 17691) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2022-07-21 |