| NPI | 1396034179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD458158) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 73994) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2016-08-23 |