| NPI | 1649351479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 43619) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 57-010667) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-10-02 |