| NPI | 1720098288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 54762-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA ML20008474) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-07-19 |