| NPI | 1013272574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q9221) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PR 30-04-2012-PRO-00039) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2016-08-30 |