| NPI | 1740236611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 32509) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 75457) |
| 207W00000X Ophthalmology (Licence: KY 35107) | |
| 207W00000X Ophthalmology (Licence: WI 51555-020) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-01-24 |