| NPI | 1669910014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX T2140) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A159972) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-05-04 |