| NPI | 1538157607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 35138) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MN 35138) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-08-20 |