| NPI | 1104827112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 021479) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 18724) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-11-24 |