| NPI | 1699781443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301113672) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 37088) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-07-21 |