| NPI | 1750661666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS11958) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL UO2833) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2018-11-21 |