| NPI | 1407485329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A184685) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.150037) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-08-28 |