| NPI | 1063935542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD478276) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 125.071383) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD478276) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-11-02 |