| NPI | 1578723326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60558894) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D74229) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2015-09-01 |