| NPI | 1528355807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301107205) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 4308850) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2015-07-29 |