| NPI | 1194885590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 41599) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301074482) |
| 207W00000X Ophthalmology (Licence: WA MD00047134) | |
| 207W00000X Ophthalmology (Licence: AZ 41599) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-05-01 |