| NPI | 1902148745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 130457) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 51837) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2022-07-21 |