| NPI | 1760481022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME47233) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL me0047233) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2018-08-09 |