| NPI | 1730293358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 236736) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 18152) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-08-01 |