| NPI | 1508255415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: ZZ 480-05) |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |