| NPI | 1952465213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 238654) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 22751) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-05-06 |