| NPI | 1699791335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G29973) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: CA G29973) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-04-23 |