| NPI | 1699216010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A157975) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA T287420) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2023-05-18 |