| NPI | 1073789061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX Q1327) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME112247) |
| 207W00000X Ophthalmology (Licence: PA MD442817) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-03-21 |