| NPI | 1134150675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX N2814) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 18355) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-03-30 |