| NPI | 1346241403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.067259) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY TP004) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2018-01-31 |