| NPI | 1518129980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A118261) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35091136) |
| 207W00000X Ophthalmology (Licence: FL ME108130) | |
| 207W00000X Ophthalmology (Licence: TX N3545) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2013-09-05 |