| NPI | 1336169762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-45729) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO R3N93) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: IA MD-45729) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-01-16 |