| NPI | 1992016976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35126481) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 48430) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2015-08-12 |