| NPI | 1629509336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A187209) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD61156469) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-07-20 |