| NPI | 1386634699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 220549) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 220549) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2013-06-07 |