| NPI | 1609212208 |
|---|---|
| Former Name | MARY J LIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 20A14080) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101023729) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2024-12-17 |