| NPI | 1477574531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 2633741) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0064904) |
| 207W00000X Ophthalmology (Licence: VA 0101240063) | |
| 207W00000X Ophthalmology (Licence: DC MD035552) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-12-27 |