| NPI | 1306092424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 129362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054643) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2014-04-02 |