| NPI | 1205132800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 52196) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD458385) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2018-05-21 |