| NPI | 1750771176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61263645) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A171973) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2022-10-27 |