| NPI | 1417020629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101044132) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD16505) |
| 207W00000X Ophthalmology (Licence: MD D38787) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-11-01 |