| NPI | 1386734770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A66153) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A66153) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-04-01 |