| NPI | 1730104902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036163236) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301101806) |
| 207W00000X Ophthalmology (Licence: KS 0433960) | |
| 207W00000X Ophthalmology (Licence: OH 35134396) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-09-14 |