| NPI | 1851398093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 23473) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA 442125) |
| 207W00000X Ophthalmology (Licence: FL ME90933) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-18 |