| NPI | 1922591635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301509270) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A178176) |
| 207W00000X Ophthalmology (Licence: MI 4351043756) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-05-25 |