| NPI | 1912936543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-26870) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 112741) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-05-09 |