| NPI | 1821014135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 76846) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 111187) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-09-23 |