| NPI | 1760683940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2009010054) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16609) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2010-08-26 |