| NPI | 1649633215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 282942) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 270990) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-01-03 |