| NPI | 1548203904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C131504) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D29764) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-06-20 |