| NPI | 1770744351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A119700) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: RI LP01343) |
| 207W00000X Ophthalmology (Licence: IN 01069253A) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-02-11 |