| NPI | 1750540266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60035998) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A94197) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2016-02-29 |