| NPI | 1558410506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A121868) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT186127) |
| 207W00000X Ophthalmology (Licence: MA 239427) | |
| 207W00000X Ophthalmology (Licence: MI 4301096297) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-11-07 |