| NPI | 1063724797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX T1806) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A119582) |
| 207W00000X Ophthalmology (Licence: NC 201401049) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2022-05-09 |