| NPI | 1689883464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 38529) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SD 7496) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-04-07 |