| NPI | 1699003129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX M0021) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX M0021) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |