| NPI | 1285798470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 53409) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 221745) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2010-12-12 |