| NPI | 1285950915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 43073) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 30416) |
| 207W00000X Ophthalmology (Licence: MN 59899) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2015-12-17 |