| NPI | 1972035004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0071516) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD61153489) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-09-07 |