| NPI | 1568500411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A117423) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: RI MD13906) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-11-01 |