| NPI | 1295832889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM 96-120) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 15321) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2013-10-18 |