| NPI | 1609005487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 58101) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 40912) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2016-01-15 |