| NPI | 1700013653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 76779) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX P6345) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2017-02-13 |