| NPI | 1629019732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 37773) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 055065) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-09-22 |