| NPI | 1669516746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD28150) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 6565407) |
| 207W00000X Ophthalmology (Licence: FL TRN 8032) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-02-20 |