| NPI | 1578761755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A118195) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 163394) |
| 207W00000X Ophthalmology (Licence: IA R-8003) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-11-07 |