| NPI | 1881668317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 26255) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 24183) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-05-01 |