| NPI | 1912340357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60949595) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD183624) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2024-07-09 |