| NPI | 1861439804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NC 34466) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 016136) |
| 174400000X Specialist (Licence: NC 34466) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-08-15 |