| NPI | 1942512538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35123462) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 47316) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-12-26 |