| NPI | 1689891640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 20A 10810) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101016090) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-07-03 |