| NPI | 1508838996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 814) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 814) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-10-05 |