| NPI | 1154598951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA12073000) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 87151) |
| 207W00000X Ophthalmology (Licence: MI 4301100487) | |
| 207W00000X Ophthalmology (Licence: PA MD439537) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2025-01-16 |