| NPI | 1861490930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 28850) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO R8E77) |
| 207W00000X Ophthalmology (Licence: KS 04-26265) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-07-15 |