| NPI | 1255306189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 0423830) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO R3P32) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-10-19 |