| NPI | 1346562915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY TP093) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH Pending) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-04-19 |