| NPI | 1053501411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 17876) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: PR 17876) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2022-12-12 |