| NPI | 1588664817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A21132) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ND 21666) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-11-11 |