| NPI | 1578833802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC D0101672) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 31208) |
| 207W00000X Ophthalmology (Licence: CA A149994) | |
| 207W00000X Ophthalmology (Licence: ND 17337) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CA A149994) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2024-12-05 |