| NPI | 1821207820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101039728) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD15956) |
| 207W00000X Ophthalmology (Licence: MD D34178) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-05-14 |