| NPI | 1982946471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 90822) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 306667) |
| 207W00000X Ophthalmology (Licence: NC 2018-01148) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-11-21 |