| NPI | 1063664993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60481539) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2012-00286) |
| 207W00000X Ophthalmology (Licence: CA A112158) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2014-09-19 |