| NPI | 1073820759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301097013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097013) |
| 207W00000X Ophthalmology (Licence: GA 71805) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2016-09-02 |