| NPI | 1164781316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD454060) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE C10011751) |
| 207W00000X Ophthalmology (Licence: NJ 25MA09955400) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2020-05-28 |