| NPI | 1982090874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY FL049) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY FT544) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2017-02-16 |