| NPI | 1548263817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 53206-020) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD30189) |
| 207W00000X Ophthalmology (Licence: MD D0051950) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2009-09-16 |