| NPI | 1699153965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME140833) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX BP10053078) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2019-07-09 |