| NPI | 1376807578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD460683) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT201044) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-01-09 |