| NPI | 1982848727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301097313) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A125457) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2016-01-06 |