| NPI | 1861689770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 259906) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A104988) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2014-10-15 |