| NPI | 1518939354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A65937) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 33339) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2012-09-06 |