| NPI | 1609372796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 341313) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 65384) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-10-24 |