| NPI | 1568761955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2018-01070) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 204412) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2019-07-02 |