| NPI | 1396974812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI MD14392) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 254783) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-03-12 |