| NPI | 1659692390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 26639) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2014-01556) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-04-12 |