| NPI | 1942761739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 81948-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 11901350-1205) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-10-03 |