| NPI | 1508216441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 66533) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 73387) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-08-07 |