| NPI | 1700178308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 40675) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 74435) |
| Enumeration Date | 2011-05-14 |
| Last Update Date | 2025-01-23 |