| NPI | 1619408176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD210002612) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4351041076) |
| 207W00000X Ophthalmology (Licence: GA 88233) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2023-02-15 |