| NPI | 1871025437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 64237) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 75474) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-07-07 |