| NPI | 1356530331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101249998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57013584) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2011-07-21 |