| NPI | 1063693406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD021987) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME73406) |
| 207W00000X Ophthalmology (Licence: AR E5950) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-09-01 |