| NPI | 1982970265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2015-01083) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MP 0928) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2025-02-08 |