| NPI | 1578099073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0074464) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 10957223-1205) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2025-01-22 |