| NPI | 1730296963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MO 2015044685) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.092189) |
| 207W00000X Ophthalmology (Licence: MI 4301091335) | |
| 207W00000X Ophthalmology (Licence: TX M7977) | |
| 207W00000X Ophthalmology (Licence: CA A109292) | |
| 207W00000X Ophthalmology (Licence: MO 2015044685) | |
| 207W00000X Ophthalmology (Licence: KS 04-37971) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-12-16 |