| NPI | 1548244387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 20314) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 20314) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-09-29 |