| NPI | 1538109160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 61013) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME95854) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-04-05 |