| NPI | 1912199159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2012008166) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-34305) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2022-10-06 |