| NPI | 1588083547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 17949) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.134461) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2023-08-02 |