| NPI | 1740495712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A99479) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD25291) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2007-07-08 |