| NPI | 1487813622 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 60728-20)  | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A121576)  | 
| Enumeration Date | 2008-06-03 | 
| Last Update Date | 2021-01-29 |