| NPI | 1811573322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 81849) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A198932) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2026-03-20 |