| NPI | 1912249970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 05-51708) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 20A16338) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2025-09-23 |