| NPI | 1508451907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 71939) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 31502) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-08-19 |