| NPI | 1124077623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 31671) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 14077) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-12-04 |