| NPI | 1982091674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S6566) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 70818) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-01-03 |