| NPI | 1548423304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-35862) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 28242) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: KS 04-35862) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-02-12 |