| NPI | 1609089804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 29724) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301082491) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-18 |