| NPI | 1619957081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 9046) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 32891) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2015-08-12 |