| NPI | 1831381243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 070301) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101249433) |
| 207W00000X Ophthalmology (Licence: MD D72164) | |
| 207W00000X Ophthalmology (Licence: DE C7-0004368) | |
| 207W00000X Ophthalmology (Licence: PA mt190630) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2022-01-10 |