| NPI | 1417301227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A177288) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57.029111) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-01-17 |