| NPI | 1104081918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 50435) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS T-2130) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2013-12-04 |