| NPI | 1447286190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME106908) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD429218) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-06-08 |