| NPI | 1790453983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 58097) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 31433) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2023-08-02 |