| NPI | 1255396669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: MA 158752) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 158752) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2017-06-27 |