| NPI | 1053632448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 258617) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: MA 258617) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MA 258617) | |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2023-03-16 |