| NPI | 1386886141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME128564) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A121476) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2016-06-14 |