| NPI | 1689893729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 012580) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 061618) |
| 207W00000X Ophthalmology (Licence: CT 046942) | |
| 207W00000X Ophthalmology (Licence: SC 26560) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-02-07 |