| NPI | 1124041942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101240225) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC md34002) |
| 207W00000X Ophthalmology (Licence: MD d0064828) | |
| 207W00000X Ophthalmology (Licence: CA A90807) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-06-07 |