| NPI | 1043215254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 049674) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 049674) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-08-15 |