| NPI | 1558629535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ID M-13914) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD P29020) |
| 207W00000X Ophthalmology (Licence: NC 2016-00555) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-02-10 |