| NPI | 1265567309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D71946) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ In training) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-02-18 |