| NPI | 1487691796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 22066) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 22066) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-04-28 |