| NPI | 1104852433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD058606L) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD058606L) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-04-11 |