| NPI | 1518067677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A103379) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 19377) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-11-29 |