| NPI | 1306012950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101268889) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0090203) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2025-10-05 |