| NPI | 1891940334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60574562) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036133760) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2015-10-20 |