| NPI | 1003875980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD042419E) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD042419E) |
| 207W00000X Ophthalmology (Licence: PA MD042419E) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2017-06-30 |