| NPI | 1144669557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS12925) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL UO 3672) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-09-10 |