| NPI | 1528596509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301509857) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 286961) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-10-18 |