| NPI | 1053553867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MA 260519) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 260519) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2021-12-20 |