| NPI | 1487868345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2009017893) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-33995) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-08-08 |