| NPI | 1114366796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S1632) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A149895) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-06-24 |