| NPI | 1144520339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A119811) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ R71949) |
| 207W00000X Ophthalmology (Licence: TX Q0305) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2014-05-22 |