| NPI | 1952385106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI 17818) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 223760) |
| 207W00000X Ophthalmology (Licence: OH 35.090430) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2016-06-29 |