| NPI | 1184982340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D80873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201231) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-12-29 |