| NPI | 1467619916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 53499-020) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT189367) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-11-29 |