| NPI | 1780661116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 73140) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 47021) |
| 207W00000X Ophthalmology (Licence: IA 37057) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-05-22 |