| NPI | 1306022173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 264799) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 54706-020) |
| 207W00000X Ophthalmology (Licence: GA 061732) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2012-09-13 |