| NPI | 1588704985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0060771) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 101229135) |
| 207W00000X Ophthalmology (Licence: DE MD33267) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-03-18 |