| NPI | 1306844097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX H1465) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H1465) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-04-06 |