| NPI | 1326380577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60952076) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 131447) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-05-11 |