| NPI | 1750418109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 34979) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 242264) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-10-20 |