| NPI | 1518305242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD461222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256250) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-07-21 |