| NPI | 1982817896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX N4747) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX temporary exp 4/10) |
| 207W00000X Ophthalmology (Licence: PA MD435968) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-01-07 |