| NPI | 1063411858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CA G71893) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX L5874) |
| 207W00000X Ophthalmology (Licence: CA G71893) | |
| 208200000X Plastic Surgery (Licence: TX L5874) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2023-05-22 |