| NPI | 1487668075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD25821) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD 916264) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-10-21 |