| NPI | 1487621405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 52708) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME90624) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-06-09 |