| NPI | 1912929019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 44891) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2006-01410) |
| 207W00000X Ophthalmology (Licence: CA a91112) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-08-07 |