| NPI | 1285640441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 33212) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0040969) |
| 207W00000X Ophthalmology (Licence: VA 0101247113) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-12-04 |