| NPI | 1811942469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A42015) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A42015) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |