| NPI | 1932292364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 75796-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C52114) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2021-11-08 |