| NPI | 1790716942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME59892) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME59892) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-07-21 |