| NPI | 1699194605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 060435) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 264752) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-01-27 |