| NPI | 1700048501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME107675) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A108911) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2021-04-14 |