| NPI | 1134201403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 22573) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: SC 22573) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-10-11 |