| NPI | 1700032570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 5101017165) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV SL0599) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-08-31 |