| NPI | 1538389978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 048086) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT186107) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-02-02 |