| NPI | 1871999805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0062452) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A155329) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2021-12-06 |