| NPI | 1942276860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 21845) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD428960) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-09 |