| NPI | 1609267681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 92034) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 1514) |
| 207W00000X Ophthalmology (Licence: GA 91850) | |
| 208D00000X General Practice (Licence: NE 1514) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2024-08-21 |