| NPI | 1124415187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX S1305) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A145872) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-12-04 |