| NPI | 1619140886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA a126335) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 251488) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2021-12-15 |