| NPI | 1720370034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME127147) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01075070A) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2016-03-11 |