| NPI | 1407812407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2006009608) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 0431738) |
| 207W00000X Ophthalmology (Licence: OK 22899) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-07-24 |