| NPI | 1538119375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60180624) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 44645) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-02-11 |