| NPI | 1992833248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301096475) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 057519) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-08-11 |