| NPI | 1215098686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 200100784) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD33774) |
| 207W00000X Ophthalmology (Licence: MD D58966) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-05 |