| NPI | 1023086592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD19025) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0047865) |
| 207W00000X Ophthalmology (Licence: VA 0101046588) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2019-07-16 |