| NPI | 1780749234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX G6117) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 16266) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |