| NPI | 1932278868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 088776) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301077770) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-04-06 |