| NPI | 1922531144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL MFC1790) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ZZ 13819) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-10-06 |