| NPI | 1821653544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A184969) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 67801) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2024-01-22 |