| NPI | 1891006037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 57829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8989) |
| 207W00000X Ophthalmology (Licence: IA R-8989) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2014-11-19 |