| NPI | 1194088401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A142474) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2012018923) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-08-08 |