| NPI | 1023054756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 022880) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 02280) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2012-06-20 |