| NPI | 1477633097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR OR MD14947) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA WA MD00026468) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |