| NPI | 1700142916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A128261) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 266557) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-07-21 |