| NPI | 1366415440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 68234) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 224397) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-11-01 |