| NPI | 1477902765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61189515) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301501698) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-02-26 |