| NPI | 1720223449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX P5188) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR LL17980) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2013-11-14 |