| NPI | 1265897003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 5151010466) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101021928) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2019-03-04 |