| NPI | 1578097630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 05183) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY R4441) |
| 207W00000X Ophthalmology (Licence: WI 75546) | |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2022-10-17 |