| NPI | 1871098111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4351028281) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A177155) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-09-19 |