| NPI | 1023374964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD230090) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 62456) |
| 207W00000X Ophthalmology (Licence: TN MD54237) | |
| 207W00000X Ophthalmology (Licence: FL 18348) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2026-08-12 |