| NPI | 1972007110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.150899) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 59431) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-09-16 |