| NPI | 1518044650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD035708) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101238916) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-09-23 |