| NPI | 1699808816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 267009) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY FT403) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-10-27 |