| NPI | 1235225004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101238891) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD039895) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-08-10 |