| NPI | 1467832733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX K9609) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 16605) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |