| NPI | 1962473439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD222223) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD.MD.61592672) |
| 207W00000X Ophthalmology (Licence: CA A93688) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-11-26 |