| NPI | 1861824450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 57034) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 106973) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-10-31 |