| NPI | 1417990441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 16089) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 227224) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-07-07 |