| NPI | 1285948836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 24998) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D00077787) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2019-06-13 |