| NPI | 1861758369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 65889-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ME MD26748) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-04-12 |