| NPI | 1083772107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00035602) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM 84-191) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |