| NPI | 1124150065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G85398) |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic (Licence: CA G85398) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA G85398) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2017-07-21 |