| NPI | 1881898419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME99947) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL TRN10029) |
| 207W00000X Ophthalmology (Licence: IA 38258) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-03 |