| NPI | 1962417410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM 2005-0566) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM MD2005-566) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-09-22 |