| NPI | 1871777953 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2010-00459)  | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 61145)  | 
| Enumeration Date | 2007-12-25 | 
| Last Update Date | 2010-04-30 |