| NPI | 1194987628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A108588) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 235486) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-04-28 |