| NPI | 1275970428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101264812) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR PG163057) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2021-08-09 |