| NPI | 1528036506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.097295) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0048346) |
| 207W00000X Ophthalmology (Licence: WV 14309) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-06-23 |