| 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 |