| NPI | 1376719591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD162073) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D69684) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2022-02-01 |