| NPI | 1093917247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C150163) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301095931) |
| 207W00000X Ophthalmology (Licence: PA MD445912) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-01-06 |