| NPI | 1619328481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A169058) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2016021475) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-07-10 |