| NPI | 1164625562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD041384) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101249757) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-10-09 |