| NPI | 1831400738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 62345) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR 171529) |
| 207W00000X Ophthalmology (Licence: CA 119971) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-01-14 |