| NPI | 1114055217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 028817) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CT 028817) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-10-05 |