| NPI | 1194107649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD473326) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: WI 71271-20) |
| 207W00000X Ophthalmology (Licence: WI 71271-20) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-02-08 |