| NPI | 1356665236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 64565-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA 60476393) |
| 207W00000X Ophthalmology (Licence: NY 268882) | |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2021-11-18 |