| NPI | 1144293697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R2K43) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 32049) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |