| NPI | 1558526525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A101722) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD440042) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2013-02-08 |