| NPI | 1467073122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD489979) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX T3240) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2025-07-16 |