| NPI | 1649385527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO 44970) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A73941) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-06-13 |