| NPI | 1972764843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CT 048686) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 048686) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-03-29 |