| NPI | 1528227717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME112528) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A112662) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-11-29 |