| NPI | 1104204890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D89231) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD P31338) |
| 207W00000X Ophthalmology (Licence: TN 59009) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-03-09 |