| NPI | 1609161165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101264155) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 136111) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-09-10 |