| NPI | 1518923960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD17659) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00037978) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-01-07 |