| NPI | 1669739769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD182037) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD.60745884) |
| 207W00000X Ophthalmology (Licence: CA A141465) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-07-21 |