| NPI | 1851603500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q0994) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301097018) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2024-02-16 |