| NPI | 1053576140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 48047) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.084676) |
| 207W00000X Ophthalmology (Licence: KY TP202) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2017-04-26 |