| NPI | 1437389822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A136157) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 254784) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2015-05-22 |