| NPI | 1356402523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 20166) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 31274) |
| 207W00000X Ophthalmology (Licence: SC 28210) | |
| 207W00000X Ophthalmology (Licence: VA 0101235997) | |
| 207W00000X Ophthalmology (Licence: MD D60860) | |
| 207W00000X Ophthalmology (Licence: CA G083620) | |
| 207W00000X Ophthalmology (Licence: IN 01046385A) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |