| NPI | 1982751509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 28892) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD.026739) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-10-14 |