| NPI | 1295091221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2016-00170) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 254884) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2021-11-10 |