| NPI | 1437178803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G59994) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 54626) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-06-11 |