| NPI | 1881605228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2009-00310) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301087433) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-02-27 |