| NPI | 1700888971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX E5437) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX E5437) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2012-04-25 |