| NPI | 1326276577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NC 2015-01115) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2015-01115) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2019-04-05 |