| NPI | 1538555917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME148852) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A160931) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2022-07-07 |