| NPI | 1396936035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 042.0013564) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT183632) |
| 207W00000X Ophthalmology (Licence: ME 017903) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-11-02 |