| NPI | 1417958869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX J8201) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 33313) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2016-06-28 |