| NPI | 1225246192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 62451) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 27600) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-02-19 |