| NPI | 1063419349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C10002605) |
| Additional Taxonomies | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: DE C10002605) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-04-24 |