| NPI | 1871851923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A124192) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A124192) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2020-08-07 |