| NPI | 1205322419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD488502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 85968) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-05-21 |