| NPI | 1598915332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 032-0129313) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 4949) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2022-07-21 |