| NPI | 1477879823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 134761) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 105611) |
| 207W00000X Ophthalmology (Licence: MN 54428) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-08-04 |