| NPI | 1871014837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 68778) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5151009255) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-07-12 |