| NPI | 1487851754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 8060) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 822) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-01-03 |