| NPI | 1043605116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD.MD.60936514) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A143892) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2019-05-08 |