| NPI | 1801080320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 44875) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A101094) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2021-02-09 |