| NPI | 1154656577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-132352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034506) |
| 207W00000X Ophthalmology (Licence: OH 57.018522) | |
| Enumeration Date | 2009-10-04 |
| Last Update Date | 2021-04-28 |