| NPI | 1609304229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 274516) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: MA 274516) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2020-01-06 |