| NPI | 1295783223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 16005) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 35592) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-06-12 |