| NPI | 1467437509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60218175) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A70759) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-11-04 |