| NPI | 1134283815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101251952) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 228095) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-12-06 |