| NPI | 1588663645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 17844) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 55641) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2018-05-08 |