| NPI | 1164523387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2007018727) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 18324) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-09-19 |