| NPI | 1790785145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE CI-0003154) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0063035) |
| 207W00000X Ophthalmology (Licence: PA MD032840E) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-01-31 |