| NPI | 1215282355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD040624) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0116024308) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2012-07-15 |