| NPI | 1154326239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 5101010250) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NH 12295) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-04-08 |