| NPI | 1770515207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD30997) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 81396) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-03-22 |