| NPI | 1235159005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 17093) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 044112) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-08-06 |