| NPI | 1730393398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C142813) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301088530) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-01-09 |