| NPI | 1467914960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301510888) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 1014237) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-07-30 |