| NPI | 1306003942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD452481) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2012-01232) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2016-04-14 |