| NPI | 1639191356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301502060) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA L15637R) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-18 |