| NPI | 1699883462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 201863) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 034639) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-08-08 |