| NPI | 1295795052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 5468) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 171870-1205) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-02-06 |