| NPI | 1477556678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301051963) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301051963) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2024-01-03 |