| NPI | 1588296859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 33819) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 33819) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-08-05 |