| NPI | 1518977222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G84931) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00034951) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |