| NPI | 1184685646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 30512) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101039474) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-11-08 |