| NPI | 1538187588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME50567) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD033625E) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-09-30 |