| NPI | 1568966000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A180019) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX T7910) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-01-19 |