| NPI | 1396790895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60494692) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 38803) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-02-29 |