| NPI | 1679502934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 59510) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME93299) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-02-16 |