| NPI | 1699703611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR0061431) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D63330) |
| 207W00000X Ophthalmology (Licence: NM MD2007-0035) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-12-03 |