| NPI | 1689796682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2007-00463) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0116015550) |
| 207W00000X Ophthalmology (Licence: MA 237031) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-01-06 |