| NPI | 1295730521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD034716) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0061228) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2012-11-01 |