| NPI | 1801952890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OH 35.127438) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A99552) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2016-06-24 |