| NPI | 1578926572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 180788) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301501921) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA 180788) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-01-12 |