| NPI | 1629230206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 56362) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 56846-20) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-06-18 |