| NPI | 1669438057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 272324) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 33016) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MA 272324) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-10-27 |