| NPI | 1184667792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0071450) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME87876) |
| 207W00000X Ophthalmology (Licence: PR 16858) | |
| 207W00000X Ophthalmology (Licence: VA 0101243120) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-02-02 |