| NPI | 1053388504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 18054) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 18054) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2015-05-03 |