| NPI | 1922232347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME154235) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR e-9195) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2022-10-12 |