| NPI | 1295729762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD072039L) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 224964) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2022-08-05 |