| NPI | 1508270422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35138884) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301105441) |
| 207W00000X Ophthalmology (Licence: NY 293423) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-05-17 |