| NPI | 1114159993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2014-0194) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NH 17540) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2024-07-08 |