| NPI | 1104081645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C10008679) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD431719) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2011-12-27 |