| NPI | 1417179029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 042-0011736) |
| Additional Taxonomies | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: VT 042-0011736) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-10-04 |