| NPI | 1538303789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0058021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192434) |
| 207W00000X Ophthalmology (Licence: NC 158496) | |
| 207W00000X Ophthalmology (Licence: WI 57034) | |
| 207W00000X Ophthalmology (Licence: NY 276867) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2022-07-21 |