| NPI | 1932369055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301092362) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35122066) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2019-01-18 |