| NPI | 1275704405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101277802) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D82601) |
| 207W00000X Ophthalmology (Licence: WV 32356) | |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2024-08-03 |