| NPI | 1699933283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60484999) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2012009715) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2014-08-29 |