| NPI | 1750761045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301504707) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME139684) |
| 207W00000X Ophthalmology (Licence: MI 4301107859) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2024-04-04 |