| NPI | 1578664462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MA 156646) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 156646) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-05-04 |