| NPI | 1538354030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MS 21168) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD.201625) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2010-08-30 |