| NPI | 1164628368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD53450) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 39420) |
| 207W00000X Ophthalmology (Licence: PA MT191375) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-03-25 |