| NPI | 1598855264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 27914) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 41013) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-07-14 |