| NPI | 1073781464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 89409) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD437648) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2021-06-25 |