| NPI | 1902398506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A165218) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD209684) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-06-20 |