| NPI | 1780730390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 52705) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2008009713) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-07-17 |