| NPI | 1609042902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 39561) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-8258) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2012-06-29 |