| NPI | 1790985935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 233242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233242) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2009-06-18 |