| NPI | 1508983347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 52377) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR E-5494) |
| 207W00000X Ophthalmology (Licence: CA A93046) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-06-11 |