| NPI | 1548853443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 72127) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 31519) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2022-07-22 |