| NPI | 1750325932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 40491) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME95962) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-01-03 |