| NPI | 1619264645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CA A136366) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A136366) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2018-08-28 |