| NPI | 1346242146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX H5294) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H5294) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2014-06-27 |