| NPI | 1770070955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD210247) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-11125) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2022-06-14 |