| NPI | 1407859341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 3820) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 19498) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-11-04 |