| NPI | 1649550872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 20A14980) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA OT014234) |
| 207W00000X Ophthalmology (Licence: PA OS017656) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2016-11-06 |