| NPI | 1265729081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR DO208852) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 20A15543) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2022-02-23 |