| NPI | 1811079767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC TL26913) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 235440) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-05-03 |