| NPI | 1699770784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35-063983) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OH 356983) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-05-26 |