| NPI | 1639346521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301091611) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: RI MD13018) |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2009-07-23 |